Individual
KENNETH AARON ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 N WASHINGTON AVE, COOKEVILLE, TN 38501-2642
(931) 526-2613
Mailing address
220 N WASHINGTON AVE, COOKEVILLE, TN 38501-2642
(931) 526-2613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9853
TN
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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